Alaska Documents

Alaska Documents

Homepage Alaska 466 Form in PDF

Example - Alaska 466 Form

ALL date fields require

Month / Day / Year. Example: 11/4/11

STATE OF ALASKA - DIVISION OF MOTOR VEHICLES

CERTIFICATE OF INSURANCE

LAW ENFORCEMENT INCIDENT NUMBER:

CRASH

Date of Crash:

 

City Where Crash Occurred:

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver

 

 

Name: _________________________________ Date of Birth: _____________

License #: _________________

State: ______

DRIVER

Mailing Address: _____________________________________________________________________________________________

 

 

 

Street or Box

City

State

Zip

 

Daytime Telephone:

 

E-mail:

 

 

OWNER

 

 

 

 

 

 

Driver

 

Name: _________________________________ Date of Birth: _____________

License #: _________________

State: ______

OF

Mailing Address: _____________________________________________________________________________________________

VEHICLE

 

 

Street or Box

City

State

Zip

VEHICLE

Year:

Make:

Model:

License Plate #:

VIN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you have an automobile liability policy in effect covering this crash? YES † NO † Policy Number:

 

 

 

 

 

 

 

Name & Address of Insurance Agent:

 

 

 

Phone Number of Insurance Agent:

 

 

 

 

 

 

 

Name of Insurance Company:

 

 

 

 

 

Policy Period: Starting & Ending Dates

 

 

 

 

 

 

 

To

 

 

 

 

 

 

 

 

Your Signature:

 

 

 

Sign your form after printing.

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE BELOW THIS LINE. THE DIVISION OF MOTOR VEHICLES WILL CONTACT YOUR INSURANCE COMPANY.

Insurance Verification: If the motor vehicle liability insurance policy listed above was not in effect for the motor vehicle listed at the time of the crash please check the appropriate box below and mail or fax this form to the Division of Motor Vehicles at the address or fax number listed on the reverse of this form. If indicated coverage was in effect at the time of the crash, no action is required.

REASON NOT VERIFIED: † Insurance information is incorrect

† No insurance in effect at time of crash

Signature of

 

Date __

Authorized Representative

 

 

 

 

 

 

 

MANDATORY INSURANCE AND FINANCIAL RESPONSIBILITY NOTICE

If the actual or estimated damages of any one person’s property involved in the crash exceeds $501, or if there is any personal injury or death, you are subject to the Alaska mandatory insurance and financial responsibility laws. The mandatory insurance laws require you to file proof of insurance with the State of Alaska. Failure to do so will result in the suspension of your driver’s license.

The financial responsibility laws require a person to show financial responsibility by one of the following methods:

(1)an automobile liability insurance policy in effect at the time of the crash; (2) a release of liability; (3) a settlement agreement and proof of future financial responsibility (SR-22 insurance); (4) a deposit of security and proof of future financial responsibility (SR-22 insurance); (5) a finding of no liability by the court in a civil action (a finding of not guilty of a traffic citation does not apply). Failure to show financial responsibility by one of the listed methods will also result in the suspension of your driver’s license for a period of 3 years if there is a possibility you are liable.

After any suspension you must show future financial responsibility (SR-22 insurance), and pay a reinstatement fee of $100 to $500, in addition to the fee for the license being requested, to have your driving privileges restored. A notice of suspension returned by the post office because of an incorrect address on your driver’s license or DMV records will not invalidate the suspension if the notice was mailed to the last address you provided to DMV.

IMPORTANT: THIS FORM MUST BE COMPLETED IN FULL AND MAILED OR FAXED TO THE DIVISION OF MOTOR VEHICLES WITHIN 15 DAYS FROM THE DATE OF THE CRASH. A participant’s crash report is required if the crash was not investigated by a peace officer and the total amount of damage exceeds $2,000, or there was personal injury.

Mail or Email Completed Form To:

STATE OF ALASKA

DIVISION OF MOTOR VEHICLES ATTN: DRIVER SERVICES 4001 Ingra Street, Suite 101 Anchorage, AK 99503

Phone: (907) 269-5551

Form 466 (Rev. 06/2023)

Alaska.gov/dmv

E-mail: DOA.DMV.ADS@Alaska.gov

Your Questions, Answered

  1. What is the Alaska 466 form?

    The Alaska 466 form, also known as the Certificate of Insurance, is required by the Division of Motor Vehicles (DMV) in Alaska. It serves to verify that a motor vehicle liability insurance policy was in effect at the time of a crash.

  2. Who needs to fill out the Alaska 466 form?

    Any driver involved in a crash in Alaska must complete this form if they had an automobile liability policy in effect during the incident. It is essential for meeting the state’s insurance verification requirements.

  3. What information is required on the form?

    The form requires details such as:

    • Driver's name, date of birth, and license number
    • Mailing address and contact information
    • Vehicle information including year, make, model, and VIN
    • Insurance policy details, including the policy number and insurance company
  4. What happens if I do not submit the form?

    If you fail to submit the Alaska 466 form within 15 days of the crash, you may face penalties. This includes the potential suspension of your driver’s license.

  5. What is the deadline for submitting the form?

    The completed form must be mailed or faxed to the DMV within 15 days from the date of the crash. Timely submission is crucial to avoid any penalties.

  6. What if the crash was not investigated by a peace officer?

    If a peace officer did not investigate the crash and damages exceed $2,000 or there was personal injury, you must also include a participant’s crash report along with the Alaska 466 form.

  7. What are the consequences of not having insurance at the time of the crash?

    If you did not have an insurance policy in effect, you may be subject to the Alaska mandatory insurance laws. This could lead to a suspension of your driver’s license for up to three years.

  8. How do I submit the form?

    You can submit the completed form by mailing it to:

    STATE OF ALASKA
    DIVISION OF MOTOR VEHICLES
    ATTN: DRIVER LICENSING
    PO BOX 110221
    JUNEAU AK 99811-0221

    Alternatively, you can fax it to (907) 465-5509.

  9. What should I do if my insurance information is incorrect?

    If you find that the insurance information provided on the form is incorrect, you should check the appropriate box on the form and submit it to the DMV. This will help in correcting any discrepancies.

Dos and Don'ts

When filling out the Alaska 466 form, there are several important dos and don'ts to keep in mind. Following these guidelines can help ensure your submission is accurate and timely.

  • Do complete the form in full. Missing information can delay processing.
  • Do provide accurate contact information for both the driver and the vehicle owner.
  • Do double-check the dates, especially the crash date and your signature date.
  • Do ensure that the insurance policy number is correct and clearly written.
  • Don't leave any sections blank. If a section does not apply, indicate that clearly.
  • Don't forget to mail or fax the form within 15 days of the crash. Timeliness is crucial.
  • Don't ignore the mandatory insurance laws. Failure to comply can result in license suspension.

Similar forms

The Alaska 466 form shares similarities with the SR-22 form, which is a certificate of financial responsibility. Both documents serve to demonstrate that a driver has the required insurance coverage. The SR-22 is often mandated for individuals who have had their driving privileges suspended due to violations related to insurance. Just like the Alaska 466, the SR-22 must be filed with the state to ensure compliance with financial responsibility laws.

Another document similar to the Alaska 466 is the Certificate of Liability Insurance. This certificate provides proof of insurance coverage for individuals or businesses. Both forms require details about the insured party, the policy number, and the insurance provider. They are essential in verifying that the necessary insurance is in place at the time of an incident, such as a vehicle crash.

The Motor Vehicle Accident Report (MVAR) is also comparable to the Alaska 466 form. The MVAR is typically filed after a traffic accident and includes details about the incident, including parties involved and damages. Like the Alaska 466, it serves to document the event for insurance purposes and may also be used in legal proceedings if necessary.

In addition to the various forms discussed, it is crucial to understand the significance of having proper documentation for any sale or transfer of ownership, such as a onlinelawdocs.com/bill-of-sale/, which serves as an essential tool in any transaction to prevent disputes and protect the rights of both parties involved.

Similarly, the Proof of Insurance Card functions as a quick reference for drivers to show that they have valid insurance coverage. Both the Proof of Insurance Card and the Alaska 466 require the driver’s information, policy number, and insurance company details. They are crucial for compliance with state laws regarding financial responsibility.

The Declaration Page of an Insurance Policy is another document that aligns with the Alaska 466 form. This page summarizes the terms of the insurance policy, including coverage limits and effective dates. Both documents serve as proof of insurance, ensuring that the driver meets state requirements during and after an accident.

The Financial Responsibility Insurance Form is also similar to the Alaska 466. This form is often required after a traffic violation or accident to prove that the driver has adequate insurance coverage. Both documents emphasize the importance of maintaining financial responsibility and require timely submission to the relevant authorities.

The DMV's Insurance Verification Form is akin to the Alaska 466 in that it is used to confirm the existence of insurance coverage. This form collects similar information regarding the driver, vehicle, and insurance policy. Both are essential for ensuring compliance with state insurance laws following a vehicle incident.

Lastly, the Accident Report Form is comparable to the Alaska 466 as it documents the specifics of a vehicle accident. This form collects detailed information about the crash, including the parties involved and circumstances. Both forms are critical for processing insurance claims and ensuring that all parties meet their financial responsibilities following an accident.

How to Write Alaska 466

Completing the Alaska 466 form is essential for reporting an automobile crash and verifying insurance coverage. Follow these steps to ensure the form is filled out correctly and submitted within the required timeframe.

  1. Obtain the Alaska 466 form from the official website or your local DMV office.
  2. In the top section, enter the Law Enforcement Incident Number and the Date of Crash.
  3. Provide the City Where Crash Occurred.
  4. Fill in the Driver Name, Date of Birth, License #, and State for the driver involved in the crash.
  5. Complete the Mailing Address for the driver, including Street or Box, City, State, and Zip.
  6. Include the Daytime Telephone number and E-mail address of the driver.
  7. Repeat steps 4 to 6 for the Owner of Vehicle section, providing their name, date of birth, license number, and mailing address.
  8. In the Vehicle section, fill in the Year, Make, Model, License Plate #, and VIN.
  9. Answer the question regarding whether you had an automobile liability policy in effect covering the crash by marking YES or NO.
  10. If applicable, provide the Policy Number, Name & Address of Insurance Agent, Phone Number of Insurance Agent, Name of Insurance Company, and Policy Period.
  11. Sign and date the form in the designated area.
  12. Review the form for completeness and accuracy before mailing or faxing it to the Division of Motor Vehicles.

After completing the form, it is crucial to submit it within 15 days from the date of the crash. Ensure all information is accurate to avoid delays or complications with your insurance verification process.

Documents used along the form

When dealing with the Alaska 466 form, there are several other documents that may also be necessary for a complete submission or to address related requirements. Each of these documents plays a crucial role in ensuring compliance with state regulations following a vehicle incident. Below is a brief overview of four such forms and documents.

  • SR-22 Form: This is a certificate of financial responsibility required for drivers who have been involved in serious traffic violations or accidents. It serves as proof that a driver has the minimum required insurance coverage and is often mandated after a license suspension.
  • Participant's Crash Report: If a crash is not investigated by law enforcement and the damages exceed $2,000 or there are personal injuries, this report must be completed. It provides detailed information about the incident and is essential for insurance claims and legal matters.
  • Release of Liability: This document is used to absolve one party from any future claims related to an accident. It is often signed when parties come to an agreement outside of court, ensuring that no further legal action can be taken regarding the incident.
  • Room Rental Agreement: To ensure a clear understanding of rental terms, consider utilizing our detailed Room Rental Agreement form guide for proper documentation.
  • Settlement Agreement: In cases where parties involved in an accident reach a financial agreement, a settlement agreement outlines the terms. This document is important for establishing the resolution of claims and may also include proof of future financial responsibility.

Having these documents on hand can facilitate a smoother process when dealing with the aftermath of a crash. Each form serves a unique purpose and helps ensure that all parties fulfill their obligations under Alaska's laws. Being prepared with the right paperwork can make a significant difference in navigating the complexities of post-accident procedures.

Misconceptions

Misconceptions about the Alaska 466 form can lead to confusion for drivers involved in a crash. Here are six common misconceptions clarified:

  • It's only for serious accidents. Many believe the Alaska 466 form is only necessary for major accidents. However, it is required for any crash where damages exceed $501 or if there are personal injuries.
  • Submitting the form is optional. Some think they can skip submitting the form if they have insurance. In reality, this form must be completed and submitted within 15 days of the crash to avoid penalties.
  • Insurance verification is automatic. Many assume that their insurance company will automatically notify the Division of Motor Vehicles. In fact, drivers must provide accurate insurance details on the form to ensure proper verification.
  • Only the driver needs to fill it out. There is a misconception that only the driver involved in the crash must complete the form. Both the driver and the vehicle owner must provide their information, even if they are the same person.
  • Filing the form guarantees no penalties. Some believe that simply filing the form will protect them from penalties. If the insurance policy was not in effect at the time of the crash, penalties may still apply.
  • It can be submitted at any time. A common misunderstanding is that the form can be submitted whenever convenient. The strict 15-day deadline is crucial, and missing it can lead to the suspension of driving privileges.

Common mistakes

  1. Failing to provide accurate driver information. It's essential to ensure that the driver’s name, date of birth, and license number are correct. Any discrepancies can lead to delays in processing.

  2. Omitting the crash date and location. Both the date of the crash and the city where it occurred must be filled in completely. Missing this information can result in the form being returned.

  3. Neglecting to indicate whether an automobile liability policy was in effect. This question must be answered with a clear "YES" or "NO." Ambiguity in this section can cause confusion for the reviewing agency.

  4. Not including the insurance policy number. The policy number is crucial for verification purposes. Without it, the insurance company may not be able to confirm coverage.

  5. Providing incomplete contact information for the insurance agent. It's important to include the name, address, and phone number of the insurance agent. Incomplete information may hinder communication.

  6. Failing to sign and date the form. An unsigned form is not valid. Make sure to provide both a signature and the date before submission.

  7. Ignoring the submission deadline. The completed form must be mailed or faxed within 15 days of the crash. Late submissions can lead to penalties or complications.

  8. Overlooking the need for a crash report if required. If the crash was not investigated by a peace officer and damages exceed $2,000, a crash report is necessary. Failing to include this can result in further issues.

  9. Using an incorrect mailing address for submission. Ensure that the form is sent to the correct address. An incorrect address can delay processing or result in the form being lost.